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10.1007/s00011-020-01389-z

http://scihub22266oqcxt.onion/10.1007/s00011-020-01389-z
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suck abstract from ncbi


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pmid32767095      Inflamm+Res 2020 ; 69 (11): 1077-1085
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  • Coronavirus (Covid-19) sepsis: revisiting mitochondrial dysfunction in pathogenesis, aging, inflammation, and mortality #MMPMID32767095
  • Shenoy S
  • Inflamm Res 2020[Nov]; 69 (11): 1077-1085 PMID32767095show ga
  • BACKGROUND: Decline in mitochondrial function occurs with aging and may increase mortality. We discuss mitochondrial contribution to Covid-19 sepsis, specifically the complex interaction of innate immune function, viral replication, hyper-inflammatory state, and HIF-alpha/Sirtuin pathways. METHODS: Articles from PubMed/Medline searches were reviewed using the combination of terms "SARS-CoV-2, Covid-19, sepsis, mitochondria, aging, and immunometabolism". RESULTS: Evidence indicates that mitochondria in senescent cells may be dysfunctional and unable to keep up with hypermetabolic demands associated with Covid-19 sepsis. Mitochondrial proteins may serve as damage-associated molecular pattern (DAMP) activating innate immunity. Disruption in normal oxidative phosphorylation pathways contributes to elevated ROS which activates sepsis cascade through HIF-alpha/Sirtuin pathway. Viral-mitochondrial interaction may be necessary for replication and increased viral load. Hypoxia and hyper-inflammatory state contribute to increased mortality associated with Covid-19 sepsis. CONCLUSIONS: Aging is associated with worse outcomes in sepsis. Modulating Sirtuin activity is emerging as therapeutic agent in sepsis. HIF-alpha, levels of mitochondrial DNA, and other mitochondrial DAMP molecules may also serve as useful biomarker and need to be investigated. These mechanisms should be explored specifically for Covid-19-related sepsis. Understanding newly discovered regulatory mechanisms may lead to the development of novel diagnostic and therapeutic targets.
  • |Aging[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications/mortality/*pathology[MESH]
  • |Humans[MESH]
  • |Inflammation/*etiology/mortality/*pathology[MESH]
  • |Mitochondria/*metabolism/*pathology[MESH]
  • |Mitochondrial Diseases/*etiology/mortality/*pathology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications/mortality/*pathology[MESH]


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